Current Best Practice in Pelvic and Hip Fracture Management in the Older Adult Population

Volume 4 | Issue 2 | Article 9 - Review Article

Anthony Joseph, FACEM
Full Text


Fractures of the pelvis and hip are a relatively frequent occurrence in the older population. Pelvic fractures in older patients usually occur after a fall from standing height. CT scan is the investigation of choice. There are several classifications available which are useful in risk stratification and predicting surgical treatment. Haemorrhage is a major complication and can usually be treated by interventional radiology. An Orthopedic opinion should be sought promptly, and surgical stabilisation (if indicated) should be completed as early as possible to enable early mobilisation and the avoidance of complications such as deep vein thrombosis or pneumonia.

Hip fractures are also relatively common in the older population. They usually occur after a fall from standing height and early surgery is the usual treatment of choice. The type of surgery will depend on the location of the fracture. The American Academy of Orthopaedic Surgeons has published both moderate and strong recommendations for the overall management of these fractures including surgery and peri-operative care. The overall aim in management of these fractures is for early mobilization and minimization of complications related to the fracture or the surgery.

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